HomeMy WebLinkAboutRMCAT - INSURANCE CERTIFICATE (5)ACORDm CERTIF CATSb#IjAM
14§ PRANCE"„
DATE(MM/DD/YY)
04/01/04
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Aon Risk Services, Inc. of Michigan
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
3000 Town Center
Suite 3000
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Southfield MI 48075
Southfield
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY Pi nnacol Assurance company
a
PHONE. (866) 283-7122 FAX_ (847) 953-5390
Ae
INSURED
COMPANY American Home Assurance Co.
a
RMCAT Environmental Services, Inc.
B
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4975 Paris Street
Denver Co 80239 USA
co CANY American International Specialty Lines
a
COMPANY Insurance Company of the State of PA
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION
OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTTVE
POLICY EXPIRATION
LIMITS
DATE(MM/DD(YY)
DATE(MM/DD/YY)
m
B
GENERALLUABILITY
GL9333129
04/01/04
04/01/05
GENERAL AGGREGATE
$2,000,005
o,
General Liability
W
PRODUCTS - COMP/OP AGG
$2,000,000
X COMMERCIAL GENERAL LIABILITY
ry
CLAIMS MADEFx OCCUR
m
PERSONAL &ADV INJURY
S1,000,000
OWNER'S & CONTRACTOR'S PROT
EACH OCCURRENCE
S1,000,000
FIRE DAMAGE(Any one fire)
S100,000
C
MED EXP (Any one Person)
S5,000
Z
u
B
AUTOMOBILE LIABILITY
CA8261690
04/01/04
04/01/05
.+
X ANY AUTO
Auto Liability
COMBINED SINGLE LIMIT
$1, 000, 000
t�
•01
ALL OWNED AUTOS
U
BODILY INJURY
SCHEDULED AUTOS
( Per person)
X HIRED AUTOS
BODILY INJURY
X NON -OWNED AUTOS
-
(Per accident)
X camp Ded S1,000
PROPERTY DAMAGE
Collision Ixd $1, 000
GARAGE LUIBIIJTY
AUTO ONLY - EA ACCIDENT
ANY AUTO
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGAT
D
EXCESS LIABILITY
4303-3894
04/01/04
04/01/05
EACH OCCURRENCE
S101000100C
UMBRELLA FORM
Umbrella Policy
AGGREGATE
S101000100
OTHER THAN UMBRELLA FORM
A
WORKER'S COMPENSATION AND
4051232
12/14/03
12/14/04
WC
ORYLIMSTATUS- OTH-
T RY LIMB rR
EMPLOYERS' LIABILITY
EL EACH ACCIDENT
THE PROPRIETOR/
PARTNERS/EXECUTIVE INCL
EL DISEASE -POLICY LIMIT
S500,000
OFFICERS ARE: I JEXCL
EL DISEASE -EA EMPLOYEE
S500,000
C CPL3779857
04/01/04 04/01/05
Aggregate Limit 515,000,000
Contractors Pollution Liabili
X Pollutn/env Imp
DREES:CRIPOF OAjQWTG&RH&PECIAL ITEMS
55
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF FORT COLLINS
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
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ATTN: 3AMES O'NEIL II CPPO FNIGP
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
its
215 NORTH MASON STREET
1.
P.O. BOX 580
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
FORTH COLLINS CO 80522-0580 USA
OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE � ����